Active NPI
Carol Ann Montgomery, PT
- Physical Therapist
- Hays, KS
National Provider Identifier
1013294313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001916A
- Practice address
- 2209 Canterbury Dr Ste B
Hays, KS 67601-2275 - Phone
- (785) 621-4570
- Fax
- (785) 621-4571
- NPI assigned
- Nov 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-04335 | KS | |
| Physical Therapist | 225100000X | 05001916A | IN | Primary |
Addresses
Primary practice location
2209 Canterbury Dr Ste B
Hays, KS 67601-2275
Mailing address
2209 Canterbury Dr Ste B
Hays, KS 67601-2275
Phone (785) 621-4570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05001916A | IN | MD | Physical Therapist |
| 11-04335 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1013294313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 CANTERBURY DR STE B",
"city": "HAYS",
"state": "KS",
"postal_code": "676012275",
"telephone_number": "785-621-4570",
"fax_number": "785-621-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 CANTERBURY DR STE B",
"city": "HAYS",
"state": "KS",
"postal_code": "676012275",
"telephone_number": "785-621-4570",
"fax_number": "785-621-4571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-04335",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001916A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hays, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.